Organization Active NPI

Jim Verhoff and Associates

  • Prosthetic/Orthotic Supplier
  • Rolla, MO
National Provider Identifier
1720084924
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JIM VERHOFF AND ASSOCIATES
Practice address
1811 Martin Springs Dr
Suite C
Rolla, MO 65401-2954
Phone
(573) 364-8480
Fax
(573) 364-8409
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jim Verhoff, CP
Title
Owner
Phone
(573) 364-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1811 Martin Springs Dr
Suite C
Rolla, MO 65401-2954

Mailing address

1811 Martin Springs Dr
Suite C
Rolla, MO 65401-2954
Phone (573) 364-8480

Other identifiers 1

IdentifierTypeStateIssuer
623147006MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1720084924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 MARTIN SPRINGS DR",
            "address_2": "SUITE C",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012954",
            "telephone_number": "573-364-8480",
            "fax_number": "573-364-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MARTIN SPRINGS DR",
            "address_2": "SUITE C",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012954",
            "telephone_number": "573-364-8480",
            "fax_number": "573-364-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM VERHOFF AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "VERHOFF",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-364-8480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623147006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.